Individual
GAGANDEEP SINGH MANGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 PARK BLVD, PINELLAS PARK, FL 33781
(727) 522-1061
(727) 528-7916
Mailing address
4800 PARK BLVD, PINELLAS PARK, FL 33781-3534
(727) 522-1061
(727) 528-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME87888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269807200
—
FL
01
—
43241
BLUE CROSS BLUE SHIELD
FL
01
—
P00137767
RAILROAD MEDICARE
—
Enumeration date
05/18/2006
Last updated
05/30/2018
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